Reimbursement Analyst
Overview
UnityPoint Health is seeking a Reimbursement Analyst to join our team! If you have advanced Excel skills, an analytical background, and healthcare experience, we would love for you to apply! In this role, you would be responsible for the completion of annual cost reports, coordination of third party audits, assisting with calculation and analysis of third party contractual allowances, monitoring compliance with third party payer regulatory changes, and consulting with management on governmental reimbursement programs for UnityPoint Health (UPH) affiliated providers and UPH Community Connect hospitals. Hours: Monday-Friday, standard business hours Location: Remote - applicants preferably reside within the UPH footprint of Iowa, Illinois, or Wisconsin Why UnityPoint Health? At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
Reimbursement & Finance: Completes annual cost reports based on the data and information received from the facility financial systems, billing systems and management. Meets with facility management to ensure operational changes have been incorporated in the cost report and contested items are handled appropriately. Works closely with facility management to ensure reimbursement related issues are addressed consistently, timely and accurately Coordinates providing information for third party audits of cost reports, works with auditors to resolve any outstanding issues and provide written response to audit adjustments when needed. Assists with the impact analysis of unique reimbursement methodologies applicable to both urban and rural providers as well as various provider types/designations and the filing of any letters requesting application or approval of these methodologies. Reviews new legislation and regulatory changes impacting the reimbursement aspects of the integrated services provided by the providers and provides consultation and expert advice to management with regard to the changing regulations. Performs contractual allowance calculations and analysis of the contractual variances to budget for the assigned facilities. Assist with the annual review of budgeted contractual expense. Assists with the review of third party liability schedules to ensure appropriate reserve levels are maintained. Reviews and makes recommendations regarding system reporting needs that effectively, efficiently and consistently provide the necessary data to support routine reimbursement functions. These recommendations are given particular weight by leadership in the decision-making process regarding matters of significance in meeting the business objectives prior to their approval for implementation. Act as a liaison with management to provide support in communications to other stakeholders in their organizations (i.e. Board Committees, Dept. management) Assists with obtaining information for reimbursement projects where outside consultants have been engaged, including Appeals. Performs other reimbursement related functions as requested.
Qualifications
Education: Required: Bachelor's degree in business, finance, or accounting Experience: Required: Minimum of 3 years work experience in finance, accounting, or analytics Preferred: Healthcare finance operations or reimbursement experience